Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Successful Transcatheter Aortic Valve Implantation in a Patient with Radiation-induced Aortic Stenosis for Mediastinal Hodgkin Lymphoma
Yuki ObayashiJiro SakamotoYukihiro HamaguchiMaki HamasakiHibiki MimaHidenori KojimaSeita YamasakiHiroki OkamotoAkinori TamuraMaiko KurodaTakeshi HaritaSuguru NishiuchiYodo TamakiSoichiro EnomotoMakoto MiyakeHirokazu KondoHisashi SakaguchiAtsushi IwakuraToshihiro Tamura
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JOURNAL OPEN ACCESS

2021 Volume 60 Issue 7 Pages 1043-1046

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Abstract

Aortic stenosis (AS), a late complication of thoracic radiation therapy for chest lesions, is often coincident with porcelain aorta or hostile thorax. We herein report a 59-year-old man with a history of mediastinal Hodgkin lymphoma treated with radiation therapy but later presenting with heart failure caused by severe AS. Severe calcification in the mediastinum and around the ascending aorta made it difficult to perform surgical aortic valve replacement. The patient therefore underwent transcatheter aortic valve implantation (TAVI). It is important to recognize radiation-induced AS early, now that TAVI is a well-established treatment required by increasing numbers of successfully treated cancer patients.

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© 2021 by The Japanese Society of Internal Medicine
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